The URL can be used to link to this page

Home My WebLink About9556-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy 1070 EliJah's Lane THIS CERTIFIES that the building located at . 95. M~ple. View. Lane ..... Street Map No... 6.6.09 ..... Block No ........... Lot No ..... .~ ............................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .. Ngv.~.m.b~l~.. J.1. ..... , 19.7..7. pursuant to which Building Permit No .... .9.5.5.6.Z dated .. Ngye.m.b~r...lJ. ...... , 19.7.7.., was issued, and conforms to all of the require- ments of the applicable provisions of the laW. The occupancy for which this certificate is issued is ..... P.R.IYA~E. 0N.E..F .A~.! .L.Y..D..I~L. L..I.N.(} ................................... The certificate is issued to .... R..a~. da.z.z.o.. B.14t. 1..d.t.n.g. C9 :..I.n. 9: ..................... ( owner, ~ of the aforesaid building. Suffolk County Department of Health Approval . .. 7.-.S0,-165 ...... May. J. 6,. J.97.8... UNDERWRITERS CERTIFICATE No..N.~79.85..~.. ~ .a.4'. 9.h..2..8,. J.9..7.8. ............... 1070 Elijah' s Lane HOUSE NUMBER 95, ........... Street ....... Mal~le..View. Large ................. ............................................. Mlttl.~k,. NeW. Y.o. rl~ ............ ....... ............. . . Building Inspector BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9556 Z ................ .......... /. ............... - .............. ~ ...................... A ................................. ~ ....... '~..~~..: ....... pursuant to application dated ............ ../.,/..Z./...~... ......................... 19...Z~nd approved by the Building Inspector. Feo $...fx.,~. ........,~... TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This applicatiot~ n~ust be filled in typewriter OR ink, and submitted in DUPLICATE to the Building inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, end unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposol--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to A~pril 1957), Non-conforming uses, or buildings and ' pre-ex'sting" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: l. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....... ?~././.-' ~. / -/...YT.~,. / New BLlilding ~/ Addition Old or Pre~existing Building . Vacant Land . o, Owner Or Owners Of Property ..~J..~ .~'..~.~...O...JJl...~:..~f~. ...... Subdivision ~-~/..~J~.~oo...~, .~..~.~¢r.~.......Lot No....~-a/~ Block No ............. House No...._~ ...... Heolth Dept. Approvol ...!.~....~...~...../.~..~..'~.... .............. Labor Dept. Approval ................................................ Underwriters ApprovoJ ~ ,~7 ,~,~'~ PlannJn Board Approval Request For Temporary Certificate ....................................... Fined Certificate .....~ .............................. Fee Submitted $ .................................... Construction on above described building andj/~e.~it m~l~able codes and regulations. Applicant ......... V..L~ ........ /,.,~ ................................................... Sworn to before me ti'ds ................ day of ............................................ Notary Public .................................. County (st~mp or seed _~z 2- THE NEW YORK BOARD OF FIRE UNDERWRITERS pill BUREAU OF ELECTRICITY --- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~.~u~. :,8,~.978 ~,....,.,No.o./.. 9536~.? N 379858 THIS CERTIFIES THAT l~Ank Tod~.lak~ n/e/~ ELtJ&h~I Lanet & Maple vllw Lane~ Ma%~;l~uok~ ~..l. FANS 1--Silo ke Deteo~o~ S E R V I C E 1 5 ~olm T. $&ptnII'O Ina. 102 Oak Ave. Sh!~ley, L.I. 11967 nat be altered in . return to the office of the if ~o.33# B Approved // · · // ~ ........................................ , 19 ........ Permit No. Disapproved a/c ............. Z ...................... ~ ....................................................... ~ .. ( u~ d~ng ns~tor) TOWN OF SOUTHOLD / ~'OWN CLERK'S OFFmE .--/ -- SOUTHOLD, APPLICATION FOR BUILDING PERMIT / Date ....I !../.!..~ .............................. . 19.!.~.:.~. INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building~.~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises relationship to adjoining premises or publ c streets o~ areas, and giving o detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. ~-~ d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. SUch permit~Z shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ssuance of a Building Perm t pursuant to theg't Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demo t on as herein descr bed The applicant agrees to comply with all applicable laws, ordinances, building code, housinn.., code, a~d re~ulati~ ohs, a.._nd .~t~"? admit authorized inspectors on premises and in buildings for nec;essary inspections. ..~ .. ..... ' i' ...... (Address of applicant) / __ ...............Name of '"'"'"'"'"'"'"'"'"'"'"owner of premises .....~....~.~.~...~...~.....~.....Z~....~_.'"'"' ...... "'""'"'"'~'"'"'""B ....... ~. ~ / .~...~.~"'"'"'"'"'" ...... '"'"'"'"'""~:Z'""'"'C~, ~/./C~ ...... "'"'"'"'"'"'"'"'"'"'"' If applicla~t i.~ corp/or~te, s~nature of duly authorized officer. '~"~e a~oi:~'office~) ' Builder's License No .................................................... .. Plumber's License No .................... ....~ ~ ('ooo _ [o~--~, 5'., Electrician's License No. . ' ............................. Other Trade s License No ............................................... ,,~ ~_~ _ .--~,~ Location of land on whicjn prol~oseck,w~rk will begone. Map I'~.~.~1/~..~,.(~.......~ ...... Lot No. Street and Number ~.[LI'~ ~ ~...~ ~1~ ~'""~ Municipali~ State existing use and ~cupancy of. pF~es an~ intended use and ~cupancy of proposed construction: 17 H( o. [xisiting use a~ ~cupancy ....m ....... .~. ........................... ~ ............................................................................... , / U 3. Nature of work (check which applicable): New Building.. ........ Addition .................. Alteration ................. Repair .................. Re99aval .................. Demolition .................... Other Work .................................................... 4. ' ,~~.~ [j/,~ ~ 000 ~ ~'/~"~"~"~ (Description) ' Est,mated Cost .............. ~..:..~..., .................................. Fee ...~...,~... ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling tjnits ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. ! 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height .................... ~.~.Number of Stories ...... .~.~.~ ................ 8. Dimensions of entire new construction: Front .........'"~/ ........................... Rear .......~'. .................... Depth Height ..!..~.. ............. N/~D~b~rtof Stories ......... ./ .......................... ,,~ ....... ~:'t .................................... '1'~77"+ .................. 9. Size of lot' Front ..[.~....~.. ....................... Rear .....~...~.. ~.. ........... ~ ........ De~tbl..~..?..?...~.....~: ........ .......... ' f Former Owner (~t~,.~.?U'''~c ..~...~.. ~1~.~.. 10. Date of Purchase ........................................................ c~ame o .............................................. 11. Zone or use district in which premises are situated ..................................................... ~ .............................................. Does proposed constructi.o~,,vj~late any zoning law, ordinance or regulation: .... ,,~....~. 12. 13. Will lot be regraded. ...... ~/~'~!..~,~ .............. Will excess fill be removed frc~rer~i~.~ ), )(,es ( ,,v-)-.No 14. Name of Owner of pram see .................................................... Address ................................ Phone No ...................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. L STATE OF NEV~ YORK, [ c S COU NTY~ 0 F..~. .......... ~,~ ...... ,*-~.f ~' .............. ..~....!,.!.?, ........ ...~.....~....~....I.~....~,..~......-~....'~.. ...................... be ng duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. He is the ............................................. .~.-,.....-'..-..~..,.) ............................................................................................................. ~(,~ntracyagent, corporate officer, etc.) of said owner or owners, and is duly outh--°nze~ to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this /~ / . ~ d/~ /^ Notary ~,c, ..~.....-,~. ..................................... County .............................. i .............................. ilo. 52-464372L Suffolk Cou. o~t~. Term Expires March 30, 19'/_~ OF HEALTH $£RVICgS APPLICANT:- ADDRESS-: SUFFOLK cOUNTY DEPART~.EN'J OF FOR APPROVAl.. OF CONSTRUCTION of % .~ 16fl34 scl. formefly or Debm r,O¢ I~. (~\ BEC ~9 "~M KNOL. b¢°°p NO r£ : j¢ ~ b"o ~N£RE ARE' NO ~W£LLIN~$ F, flTHIN 100 OF I'HI$ PROPERTY OTHER THAN THOSE 19 bo APPLICANT: ADDRESS ....... TEL ~UJ~'J~'ULK UOU~!tL"~ Hi;A,bTt~ The sewage disposal and water supply facilities for this location have been inspected by this departmen~.an~ fou~',"*~ ~ /H;'/~,,. to bo sattsfactory.~~~ ~;~. ~,~ Chief of General Enginearin~ So.ices bot ~ bot oON~edo~gO ) ( No$ NO TE : · = MONUMENT SUBDIVISION MAP FLIED IN THE OFF/CE OF THE C~RIq OFSUFFOI~¢ COUNTYON OCT, 7~ THENE ARE NO DWEllINGS WITHIN I00' OF THIS PROPERTY OTHER THAN THOS~ SHOWN H~ON. YOUNG & YOUNG SURVEY FOR: t~ANDAZZO BUILDING CO. ,INC. LOT NO. s "GREENBRIAR ACRES" /~ / ~OUTHOL D ~s~ JAN, ii, 1978 I "= 40 ' ? kot ~°~ 19 AppLiCANT. I]~_I_T_P_~J~i'~/g°~ ~J, J6- h~'. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF ,CONSTRUCTION ONLY APPROVED NO TE : · -' MONUMENt SUBDIVISION MAP FILED IN THE OFFICE OF THE CI..ERK OFBUFFO£K OOUNTYON OCT. 7, 1977 AS FllENO. $$09 THERE ARE NO DWELLINGS WlYHIN I00' OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. WATER SERVICE - Pt~IVATE WEll D = STAKE R£¥)$1ON$ gO bot YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: RANDAZZO BUILDING CO, ,/NC. LOT NO. ~ . GREENBRIAR ACRES" AT MA TTITUCK TOW~ O~ ~OUTHOLO SUFFOLK CO, N.Y. i SOUTHOI D SAVINGS BANK SCALE: ,, , J DATt:_' ! NO / 40 NOV. 8,1977 I 77- 799 1